SURAT MUNICIPAL CORPORATION

SURAT MUNICIPAL CORPORATION SURAT MUNICIPAL INSTITUTE OF MEDICAL EDUCATION & RESEARCH Umarwada, Near Bombay Market, Surat-39510 Telephone: (0261) 2368040 to2368044, 2355080, 2366367; Fax No. (0261) 2343241 Website: http//smimer.suratmunicipal.gov.in; www.suratmunicipal.gov.in ADMISSION TO M.Sc (M.L.T) COURSE (ACADEMIC YEAR 2014-15) Applications from the eligible candidates are invited for the admission to M.Sc (M.L.T) Course at Surat Municipal Institute of Medical Education and Research, (SMIMER), Surat, affiliated to the Veer Narmad South Gujarat University (VNSGU), Surat Eligibility Criteria: B.Sc. with Microbiology/ Medical Technology/ Bioscience/ Biochemistry/Biotechnology or PG DMLT with B.Sc. in Microbiology/ Medical Technology Bioscience/ Biochemistry/Chemistry from this University or of any other recognized university. Total No. of Seats: 10 (05 each in Clinical Microbiology and Clinical Biochemistry respectively) Tuition Fee: Rs. 60,000/- (Rs. sixty thousand only) per year; Total course fee of Rs. 1,20,000/- (Rs. one lakh twenty thousand only) for two years. Laboratory Fee: Rs. 5,000/- (Rs. five thousand only) per year Prospectus and application form: can be down loaded from our websites: www.suratmunicipal.gov.in or http://smimer. suratmunicipal.gov.in The application form duly filled and signed, together with all the relevant documents and non-refundable fee of Rs. 300/-(Rs. three hundred only) as application form fee in cash/demand draft (drawn in favour of "Commissioner, Surat Municipal Corporation payable at Surat) can be submitted personally or through registered post so as to reach the office of the Dean, SMIMER, Surat on or before the last date i.e. 27/06/2014. No application will be accepted or considered for admission received after the prescribed due date for any reason (s) whatsoever, including delay in postal transit for non-receipt of application. This advertisement is subject to the approval of Veer Narmad South Gujarat University, Surat. No.PRO/MC/ /2014-15 Dean, Date: 12/06/2014 SMIMER, Surat

Application Regd No. SURAT MUNICIPAL CORPORATION SURAT MUNICIPAL INSTITUTE OF MEDICAL EDUCATION & RESEARCH Umarwada, Near Bombay Market, Surat-39510 Phones: 0261-2366367; 2368040-44; Fax: 0261-2343241. E-mail:deansmimer@gmail.com www.suratmunicipal.gov.in; http://smimer.suratmunicipal.gov.in PROSPECTUS AND APPLICATION FORM FOR ADMISSION TO M.Sc. (M.L.T) COURSE (Clinical Microbiology/Biochemistry) 2014-15 LAST DATE FOR SUBMISSION OF APPLICATION 27.06.2014 Page 2

SURAT MUNICIPAL CORPORATION SURAT MUNICIPAL INSTITUTE OF MEDICAL EDUCATION & RESEARCH Umarwada, Near Bombay Market, Surat-39510 WELCOME We are pleased to learn about your interest in M.Sc (M.L.T) Course at the Surat Municipal Institute of Medical Education and Research (SMIMER), Surat and we look forward to receive your application for admission to the Para Medical Course for the degree of Master of Science in Medical Laboratory Technology affiliated to Veer Narmad South Gujarat University (VNSGU), Surat. Please submit the duly filled application form to The Dean, SMIMER, Umarwada, Opposite Bombay Market, Surat, Pin 395010, Gujarat, India. Submission of duly filled application form along with relevant documents, as listed in the form, will facilitate a timely review of your application. Incomplete application form in any respect shall not be accepted. For any further information, please visit the SMIMER websites: http://smimer. suratmunicipal.gov.in or www.suratmunicipal.gov.in. SMIMER: MISSION SMIMER is dedicated to improve the general health and well-being of the citizens of this country and Surat in particular. In pursuit of this goal, SMIMER is committed to excellence in medical education. SMIMER: ABOUT THE INSTITUTE Surat Municipal Institute of Medical Education & Research (SMIMER) is a medical institute established by the Surat Municipal Corporation in the year 2000-2001. SMIMER is located in a campus measuring about 25 acres of land at Umarwada, Opposite Bombay Market, in the heart of the Surat city. SMIMER is affiliated to Veer Narmad South Gujarat University (VNSGU), Surat and is recognized by the Medical Council of India (MCI) and the Ministry of Health & Family Welfare, Government of India for 100 annual undergraduate admissions. Under 10 (A) of IMC Act, SMIMER is permitted by the Medical Council of India and the Ministry of Health & Family Welfare, Government of India for additional intake of 50 undergraduate admissions from the academic year 2009-10. The Medical Council of India has recommended to the Ministry Health and Family Welfare, Government of India, New Delhi for the recognition of M.B.B.S degree of additional 50 undergraduate seats. This institute is also successfully running recognized Postgraduate Degree Courses in the specialty of General Medicine, General Surgery, Paediatrics, Community Medicine, Ophthalmology, Orthopaedics, Anaesthesiology and Obstetrics & Gynaecology. It has also Page 3

obtained recognition of Postgraduate Diploma Courses in the specialty of Obstetrics &Gynaecology and Community Medicine from the Medical Council of India. In addition to the above courses, SMIMER is also conducting degree courses in Microbiology, Pathology, Oto-rhino-laryngology, Tuberculosis & Respiratory Medicine, Physiology, Anatomy and Forensic Medicine & Toxicology. On the recommendation of the Medical Council of India the Ministry of Health & Family Welfare, Govt. of India has issued letter of permission for the starting of M.D courses in Radiodiagnosis, Pharmacology and Biochemistry from the academic year 2014-15.Overall there are fifty eight (58) seats in degree courses and two (2) seats in diploma courses in various departments. Efforts are also being made to increase post graduate degree seats in the existing post graduate departments and starting of new courses in some of the other specialties. SMIMER: LABORATORY SECTION SMIMER has well equipped Clinical Pathology, Clinical Microbiology and Clinical Biochemistry laboratories. Analysis of a wide range of investigations is taken up in these laboratories. Each section of the laboratory is handling more than 2 lakhs investigations per year. SCHEME OF ADMISSION Scheme of admission is governed by the rules and regulations laid down by the Veer Narmad South Gujarat University, Surat and the Surat Municipal Corporation. Admissions for these courses are as under: S.No Name of the Course Number of seats 1 M.Sc (M.L.T) in Clinical Microbiology 05 2 M.Sc (M.L.T) in Clinical Biochemistry 05 NB: Preference for the Clinical Microbiology/Clinical Biochemistry will be decided on the basis of the merit of first year M.Sc. (M.L.T) examination result. ADMISSION GUIDELINES In these admission rules, unless there is anything repugnant in the text or context, "Admission" means admission to the M.Sc (M.L.T) Course of Surat Municipal Institute of Medical Education & Research (SMIMER), Surat on the NRI quota. "Institute" means Surat Municipal Institute of Medical Education & Research (SMIMER), Surat. "Dean" means the Dean of Surat Municipal Institute of Medical Education & Research (SMIMER), Surat. "University" means Veer Narmad South Gujarat University (VNSGU), Surat. TUITION FEE The tuition fee for total duration of course (i.e. 4 terms) will be Rs. 1, 20,000/- (Rupees one Page 4

lakh twenty thousand only) as per the permission of competent authorities. The above fees shall be payable in four (04) equal instalments of Rs.30, 000/- (Rupees thirty thousand only) per six months. First instalment of tuition fee shall be paid at the time of admission and thereafter every year in the month of January and July only. LABORATORY FEES Students are required to pay laboratory fee of Rs. 5000/-(Rs. five thousand only) per annum which is non-refundable and shall be paid along with the first and third instalment of tuition fee. DISCIPLINE All the students are expected to maintain strict discipline in the campus and shall adhere to the rules and regulations in relation to their overall conduct, academic performance and attendance throughout their academic tenure. Ragging is categorically banned in the institution and is a criminal offence as per the judgement of the Supreme Court of India. Any one indulging in ragging or any kind indiscipline will be punished appropriately, which may include expulsion from the institution. WORKING HOURS Working hours of the course will be from 09.00 A.M to 05.00 P.M from Monday to Friday and 09.00 A.M to 1.00 P.M on Saturday. However, students may be posted during emergency duty hours as part of their training under the supervision of senior laboratory personnel. ELIGIBILITY CRITERIA Name of the Course M.Sc (M.L.T) in Clinical Microbiology/ Clinical Biochemistry Eligibility for Admission B.Sc. with Microbiology/ Medical Technology Bioscience/ Biochemistry/Biotechnology or PG DMLT with B.Sc. in Microbiology/ Medical Technology Bioscience/ Biochemistry/Chemistry from this University or of any other recognized university. Note: Those who are employed shall submit application along with the No Objection Certificate (N.O.C) from the organization in which he/she is employed. Application will not be considered if the No Objection Certificate is not enclosed along with the application. RESERVATIONS As per the rules and regulations of the Government of Gujarat/Affiliated University Page 5

MODE OF ADMISSION Admission to these courses shall be as per the rules and regulations of Veer Narmad South Gujarat University. (As per the rules relating to the post graduate admissions under section 42 of Veer Narmad South Gujarat University Act. 1965) Merit list will prepared on the basis of marks obtained in the T.Y.B.Sc (final year) examination. Applicants who have passed the qualifying examination from the universities other than Veer Narmad South Gujarat University will have to appear in entrance examination. Marks obtained in the final year of degree examination and marks obtained in the common entrance examination conducted by the institution will be taken into consideration in the preparation of merit list. APPLICATION PROCEDURE The application form can be downloaded from our college websites http://smimer. suratmunicipal.gov.in & www.suratmunicipal.gov.in The application form duly filled and signed, together with all the relevant documents and the requisite fee of Rs. 300/-(Rs. three hundred only)can be submitted personally or through registered post at the following address so as to reach on or before the prescribed last date i.e. 27.06.2014. The Dean, SMIMER, Opposite Bombay Market, Umarwada, Surat-395 010, Gujarat All the application form must be accompanied with an amount of Rs.300/-(Rs. three hundred only) as application fee in cash/demand draft (DD drawn in favour of "Commissioner, Surat Municipal Corporation payable at Surat). The applicant shall have to produce the original certificates before Admission Committee at the time of admission. The original certificates will be returned after verification, if during scrutiny or any time there after any discrepancy or tampering of facts is noticed, the admission is liable to be cancelled. The candidate shall be expelled and criminal action shall be initiated against him/her. In such cases, the fees paid will not be refunded. Incorporation of changes/modifications from time to time including additions or deletions regarding rule/regulations as well as procedure regarding admission, preferences for merit list shall be under the purview of the competent authority of the Surat Municipal Corporation/VNSGU, Surat. In case of dispute the place of Jurisdiction is Surat only. All communication in regard to the admission should be made to the Dean, SMIMER, Surat. Page 6

DOCUMENTS Photocopies of documents to be attached with the application Application will be considered only if the following photocopies attached are duly attested. 1. School Leaving Certificate 2. Marks sheets of the qualifying examination 3. Attempt certificate 4. Character certificate from the previous institute 5. No objection certificate in case of applicants who are employed 6. Medical certificate of fitness 7. Caste Certificate 8. In case of SEBC, Non-Creamy Layer Certificate of current year i.e. 01.04.2014-31.03.2015 9. Migration certificate, in case of applicants other than VNSGU. 10. Self-addressed stamped two envelopes. GENERAL INSTRUCTION FOR FILLING APPLICATION FORM 1. The applicant is requested to read carefully the instructions, rules and regulations and as-certain whether he/she is eligible for admission according to the rules applicable to him/her before applying for admission. 2. Each applicant should submit only one application form. 3. Form is to be filled in capital letters by the candidate in his/her handwriting 4. Use only BLACK or BLUE Hi-Tec point type pen to fill up the form 5. Applicants must paste their most recent colour photograph (not older than 3 months) in the appropriate place. Do not pin or staple the photograph. 6. Every entry in the form must be completed in detail and legibly. Incomplete applications are liable to be rejected without any further communication. 7. Overwriting, striking off or erasing in the form may lead to rejection and should be avoided. 8. Any discrepancy in the statement and/or submission of incomplete forms will lead to rejection of application / cancellation of admission. 9. No application for admission will be considered unless it is accompanied by affidavits/attested copies of the documents/certificates. 10. Applicants are required to submit photocopies of the required documents (wherever applicable). The photocopies are taken on A4 size paper only The print is clear, legible and readable Both sides are photocopied if the original marks card is printed on both sides. Application number along with the name of the applicant must be written at top right corner of all the photocopies Page 7

Application Regd. No. SURAT MUNICIPAL CORPORATION SURAT MUNICIPAL INSTITUTE OF MEDICAL EDUCATION & RESEARCH Umarwada, Near Bombay Market, Surat-39510 APPLICATION FORM FOR ADMISSION TO M.Sc. (M.L.T) COURSE (Clinical Microbiology/Biochemistry) Last Date for Submission of Application 27.06.2014 Name of Candidate: (Surname) (First Name) (Middle Name) : For Office Use Only: Regd No. : Category: Category Claimed: Merit Marks: Remarks: Merit No.: Page 8

APPLICATION FORM FOR ADMISSION TO M.Sc. (M.L.T) COURSE (2014-15), SMIMER, SURAT Applicants Detail (Complete In Block Letters) General Information Affix Passport Size Photograph (Self Attested) 1. Name of Candidate: (Surname) (First Name) (Fathers/Husband Name) 2. Date of Birth: (D D / M M / Y Y Y Y ) Place of Birth: 3. Gender: Male Female 4. Marital Status Single: Yes No Married: Yes No 5. Current Postal /Correspondence Address Permanent Address City: Pincode: City: Pincode: 6. Category: Open: SC ST SEBC 7. Telephone Numbers(with area code) Office/Work: Home: Mobile: Fax: 8. E-mail Address: (in CAPITAL letters without blank spaces) 9. Father s / Husband s/ Guardian s Name: (Surname) (First Name) (Middle Name) Father s / Husband s/ 10. Guardian s Occupation Annual Income: 11. Educational Qualifications Name of Degree B.Sc. Name of College University Total Marks Marks Obtained Percentage of Marks No. Of Attempts (Final Year)

UNDERTAKING 1) I have carefully read the instructions, rules and regulations given in this application form and have filled in the form accordingly. I also hereby agree to abide by the rules and regulations that are in force and that may be brought into force by the SMIMER and Veer Narmad South Gujarat University from time to time. 2) In case of any dispute as and when arise pertaining to the process of rules of admission, decision of SMIMER and University will be final. 3) I hereby declare that I have not registered for any other course in this university or any other university. 4) I, hereby declare that the above statements are correct and true and it is understood that admission is based upon the statement made here and in the event of any information being found false or incorrect or incomplete, the admission given is liable to be cancelled. Date: Yours faithfully, Place: (Signature of the Applicant) Page 10

MEDICAL CERTIFICATE OF EXAMINATION OF CANDIDATE FOR ADMISSION TO M.Sc (M.L.T) COURSE To, The Dean, SMIMER, Surat-10 Affix photo attested by the examining doctor This is to certify that I have conducted clinical examination of Dr. who is desirous of admission to M.Sc (M.L.T) Courses at Veer Narmad South Gujarat University-2014. He/she has not given/given any personal history of any disease incapacitating him/her to undergo the professional course. He/she was clinically examined by me on the date of thoroughly so also for the below mentioned points. The results of my clinical findings are as below: S.No Clinical Findings Absent/Present 1. Progressive systematic disease/disorder / condition, 2. Disability of lower limb/s or upper limb/s, or three or four limbs 3. Visual disability 4. Auditory disability 5. Psychosis/neurosis/mental retardation 6. Inability to maintain erect posture 7. Other than above Description of Progressive Disease/Disorder/Condition/Disability: As per my clinical finding: He/she is medically fit He/she has above mentioned findings (1 to 7) of progressive disease/disorder /disability/condition. He/she needs further investigation by Medical Experts. Signature with Remarks (Doctor s Signature) (Signature of the Candidate) Name: Official address: Details of Certifying Doctor Qualifications: Registration No.: Page 11

CHECK-LIST (TO BE FILLED BY THE APPLICANT) Please tick ( ) in the appropriate box the document you have submitted with your application (attach attested xerox copies wherever applicable in the sequence given below): S. No Documents Yes No 1 Proof of date of birth (School Leaving Certificate) 2 Attested photocopies of the qualifying examination 3 Attested copy of attempt certificate 4 Character certificate from the previous institute 5 No Objection certificate in case of applicants who are employed 6 Medical certificate of fitness 7 Cast Certificate 8 In case of SEBC, Non-Creamy Layer Certificate of current year i.e 01.04.2014-31.03.2015 9 Migration certificate, in case of applicants other than VNSGU Date: (Signature of the Candidate) CHECK-LIST (FOR OFFICE USE ONLY) Please tick ( ) in the appropriate box the document you have submitted with your application (attach attested xerox copies wherever applicable in the sequence given below): S. No Documents Yes No 1 Proof of date of birth (School Leaving Certificate) 2 Attested photocopies of the qualifying examination 3 Attested copy of attempt certificate 4 Character certificate from the previous institute 5 No Objection certificate in case of applicants who are employed 6 Medical certificate of fitness 7 Cast Certificate 8 In case of SEBC, Non-Creamy Layer Certificate of current year i.e 01.04.2014-31.03.2015 9 Migration certificate, in case of applicants other than VNSGU Date: (Signature of the Receiver ) Page 12

SURAT MUNICIPAL CORPORATION Surat Municipal Institute of Medical Education & Research Umarwada, Near Bombay Market, Surat-39510 Phones: 0261-2366367; 2368040-44; Fax: 0261-2343241.; E-mail:deansmimer@gmail.com; www.suratmunicipal.gov.in; http://smimer.suratmunicipal.gov.in ACKNOWLEDGEMENT RECEIPT Received application form for admission to the M.Sc (M.L.T) Course for the academic year 2014-15 from: Mr./Ms. along with Rs.300/- as processing and scrutiny fees (Non refundable) by Cash or by Demand Draft No. drawn on Dt from (name of the bank) (bank branch). For Office Use Only Regd. No. Date: Stamp (Signature of Receiver) Office of the Dean Surat Municipal Institute of Medical Education & Research (SMIMER) (OFFICE COPY FOR RECORD) Page 13

SURAT MUNICIPAL CORPORATION Surat Municipal Institute of Medical Education & Research Umarwada, Near Bombay Market, Surat-39510 Phones: 0261-2366367; 2368040-44; Fax: 0261-2343241.; E-mail:deansmimer@gmail.com; www.suratmunicipal.gov.in; http://smimer.suratmunicipal.gov.in ACKNOWLEDGEMENT RECEIPT Received application form for admission to the M.Sc (M.L.T) Course for the academic year 2014-15 from: Mr./Ms. along with Rs.300/- as processing and scrutiny fees (Non refundable) by Cash or by Demand Draft No. drawn on Dt from (name of the bank) (bank branch). For Office Use Only Regd No. Date: Stamp (Signature of Receiver) Office of the Dean Surat Municipal Institute of Medical Education & Research (SMIMER) (APPLICANT COPY) Page 14